Exam 2 on Lactation review PDF

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Exam 2 on Lactation and Infancy 1. Colostrum is higher in _____ and lower in _____ than mature milk. -

Protein; carbohydrate and fat

2. Which of the following nutrients is present in more quantity in colostrum than mature milk? -

Protein

3. A woman was not planning to breastfeed because she felt her breasts were small and they would not produce enough milk. Which of the following statements contradicts her assumption? -

A woman with small breasts can produce the same amount of milk as a woman with large breasts.

4. What nutrient is predominant in human milk? -

Water

5. Which component of human milk prevents the binding of pathogenic microorganisms to the surface receptors of their target cell, thereby preventing infection? -

Oligosaccharides

6. The functional units of the mammary gland are the _____. -

Alveoli

7. An infant should be allowed to nurse at one breast of her mother as long as she wants so that _____. -

She gets both foremilk and hindmilk

8. Which benefit is least likely to occur as a result of breastfeeding? -

Increased fertility

9. The dominant carbohydrate in human milk is _____. -

Lactose

10. The composition of breast milk becomes stable during lactogenesis III. -

True

11. Which food item is least likely to be considered a common pediatric food allergen -

Oats

12. Treatment for plugged ducts would least likely include _____. -

Stopping breastfeeding until health care provider is consulted

13. A lactating woman experiences localized pain in a red, hot, swollen area on the right breast and has a tender lump. She also experiences fever and flu-like symptoms. Which of the following conditions is she suffering from? -

mastitis

14. Alcohol is transferred from the mother to the infant through her breast milk. -

True

15. A woman experiencing letdown failure may be prescribed a(n) _____ nasal spray. -

Oxytocin

16. Medicinal herbs are regulated as dietary supplements and are tested for safety and efficacy. -

True

17. A new mother was away from her infant longer than planned and could not nurse her baby until she returned 6 hours later. Which of the following problems is she most likely to experience? -

Engorgement

18. Severe nipple pain, the presence of nipple fissures, and pain that persists throughout a feeding are normal and do not require medical attention. -

True

19. Infants who are diagnosed with galactosemia should not be breastfed. -

True

20. Fat contributes approximately half of the calories in breast milk. -

True

21. Measurements for weight, length, or head circumference below the _____ percentile indicate that an infant is small for gestational age (SGA), whereas measurements above the _____ percentile indicate that an infant is large for gestational age (LGA). -

10th; 90th

22. If an infant is exclusively breastfed and not exposed to adequate amounts of sunlight, he or she would need a(n) _____ supplement. -

Vitamin D

23. The energy needs of infants per kilogram of body weight are higher than at any other time of life. -

True

24. The recommended protein intake for infants from birth to six months of age is _____ g/kg body weight. -

1.52

25. Full-term infants are born at _____ weeks' gestation. -

37-42

26. The _____ reflex happens when the sole of a baby's foot is stroked, and his or her toes fan out. -

Babinski

27. Healthy infants may have brief periods when their weight gain is slower or more rapid than at other times. -

True

28. The 2015–2020 Dietary Guidelines for Americans provide recommendations for healthful eating and physical activity for individuals starting at _____. -

Birth

29. A child suffering from galactosemia should be given a(n) _____ formula. -

Soy based

30. The American Academy of Pediatrics recommends that a premature infant have an energy intake range of _____ kcal/kg. -

105-130

31. Which of the following statements is true of enteral and/or parenteral feedings? -

Enteral feeding delivers nutrients directly to the digestive system, while parenteral feeding delivers nutrients directly into the bloodstream.

32. An infant weighing less than 1500 g at birth is referred to as a very low-birthweight infant. -

True

33. The body composition of preterm infants is the same as that of full-term infants. -

False

34. Which of the following statements is incorrect? -

Preterm infants can be breastfed just after birth

35. A routine source of fat in preterm infant formula is _____. -

Medium- chain triglycerides

36. An infant with spina bifida or Down syndrome requires _____. -

Fewer calories than a healthy full-term infant

37. Multiple gestation is associated with intrauterine growth retardation. -

True

38. Which nutrient has been implicated in fetal-origin errors? -

Vitamin A

39. An infant with _____ requires less energy than their peers. -

Down syndrome

40. Which of the following women is most likely to be breast feeding at six months? -

Asian or pacific islander

41. Formulas are categorized mostly by type of fat. -

True

42. An infants ability to control voluntary muscles usually starts with the: -

Head

43. The feeding style that ultimately helps a child learn to trust their body to tell them they have had enough to eat is: -

Responsive

44. Which State are you more likely to find infants the least likely to be breastfed at six months? -

Arkansas

45. Charlotte is formula feeding her newborn and finds the formula costs too much so she decides to dilute the formula powder with more water than is recommended. Which of the following concerns would you have for her infant? -

Brain damage Increased irritability Weight loss

46. Chloe is an 8-month old infant who is at the 75th percentile for weight-for-age. How does Chloe's weight compare with other female infants her age? -

She weighs more than 75 percent of girls her age

47. Daniel is a seven month old infant who is still exclusively breastfed, cranky, and appearing lethargic during feedings. He's taking no supplements. Sam's pediatrician might be concerned about ________. -

Iron deficiency

48. Which condition is linked to early feeding of cow's milk in infants? -

Iron deficiency anemia

49. Among the key barriers to breastfeeding as identified by the 2011 Surgeon General’s Call to Action to Support Breastfeeding are _____. -

Poor family and social support

50. A young woman comes into your office for a lactation consultation complaining that her 1-month-old baby has slow weight gain. She tells you she allows the baby to nurse equally on each breast so that she does not feel “overfull.” She is desperate for help and asks your advice on what to do. A 24-hour diet history provides the following information about her eating habits.

-

Allow your baby to nurse on one breast until it is completely empty...